
Search Clinical Trials
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Chemotherapy Combined With Immunotherapy Versus Immunotherapy Alone for Older Adults With Stage III1
National Cancer Institute (NCI)
Advanced Lung Non-Small Cell Carcinoma
Stage IIIB Lung Cancer AJCC v8
Stage IIIC Lung Cancer AJCC v8
Stage IV Lung Cancer AJCC v8
This phase III trial compares the effect of adding chemotherapy to immunotherapy
(pembrolizumab) versus immunotherapy alone in treating patients with stage IIIB-IV lung
cancer. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the
body's immune system attack the cancer, and1 expand
This phase III trial compares the effect of adding chemotherapy to immunotherapy (pembrolizumab) versus immunotherapy alone in treating patients with stage IIIB-IV lung cancer. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving pembrolizumab and chemotherapy may help stabilize lung cancer. Type: Interventional Start Date: Jul 2024 |
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A Study to Understand How the Study Medicine (PF-06823859) Works in People With Active Idiopathic I1
Pfizer
Myositis
The purpose of the study is to understand how the study medicine PF-06823859 (dazukibart)
works in people with idiopathic inflammatory myopathies (DM and PM). These disorders
cause inflammation that weakens the muscles that are important for movement and may also
cause skin rash in people with DM.1 expand
The purpose of the study is to understand how the study medicine PF-06823859 (dazukibart) works in people with idiopathic inflammatory myopathies (DM and PM). These disorders cause inflammation that weakens the muscles that are important for movement and may also cause skin rash in people with DM. This study is seeking participants who: - Are 18 years of age or older or minimum legal adult age as defined per local regulation, whichever is greater - Have active DM or active PM. - Are receiving a stable dose of 1 corticosteroid taken by mouth and/or 1 traditional immunosuppressant. - Note: Corticosteroids and immunosuppressants are medicines that help reduce inflammation and may signal to the immune system not to attack the body. Dermatomyositis (DM) is a rare disease that causes muscle inflammation that results in muscle weakness and low muscle stamina. Patients with DM have a characteristic skin rash. Polymyositis (PM) is a rare disease that involves mainly muscle inflammation resulting in muscle weakness, that can sometimes be painful. Patients with DM and PM may have trouble going up the steps, walking or getting to a standing position. Some of the participants will receive the study medicine (dazukibart) and some will receive placebo (which is similar to study medicine but contains no medicine in it). The study medicine or placebo will be given as an intravenous (IV) infusion (directly into the veins), which takes about 1 hour; every 4 weeks from Day 1 to Week 48 of the study. Both dazukibart and placebo and will be given at the study site. The study will compare the experiences of people receiving study medication to those of the people who do not. This will help to see if dazukibart is safe and effective. Participants will take part in this study for about 13 months. During this time, participants will have 15 study visits. These visits will be performed at the study site. Type: Interventional Start Date: May 2023 |
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Vivistim Registry for Paired VNS Therapy (GRASP)
MicroTransponder Inc.
Upper Extremity Problem
The purpose of the Vivistim Registry for Paired VNS Therapy (GRASP) is to gather
real-world information on patients with arm and hand deficits post-stroke who are
considering Vivistim System treatment. Before and after Vivistim System implant, patient
data will be collected and reported throughout1 expand
The purpose of the Vivistim Registry for Paired VNS Therapy (GRASP) is to gather real-world information on patients with arm and hand deficits post-stroke who are considering Vivistim System treatment. Before and after Vivistim System implant, patient data will be collected and reported throughout the therapy process. Physicians or sites will receive appropriate remuneration for the effort and cost involved in collecting and transmitting this data to MicroTransponder Inc. Type: Observational [Patient Registry] Start Date: Mar 2023 |
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The CONFORM Pivotal Trial
Conformal Medical, Inc
Atrial Fibrillation
Stroke
The CLAAS® device will be evaluated for safety and efficacy by establishing its
performance is non-inferior to the commercially available WATCHMAN® and Amulet™ left
atrial appendage closure devices in patients with non-valvular atrial fibrillation.
Patients who are eligible for the trial will be ra1 expand
The CLAAS® device will be evaluated for safety and efficacy by establishing its performance is non-inferior to the commercially available WATCHMAN® and Amulet™ left atrial appendage closure devices in patients with non-valvular atrial fibrillation. Patients who are eligible for the trial will be randomized to receive either the CLAAS device or the WATCHMAN or Amulet™ devices and will be followed for 5 years after device implant. Type: Interventional Start Date: May 2022 |
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Surgery With or Without Neoadjuvant Chemotherapy in High Risk RetroPeritoneal Sarcoma
European Organisation for Research and Treatment of Cancer - EORTC
Retroperitoneal Sarcoma
Liposarcoma
Leiomyosarcoma
This is a multicenter, randomized, open label phase lll trial to assess whether
preoperative chemotherapy, as an adjunct to curative-intent surgery, improves the
prognosis of high risk DDLPS (dedifferentiated Liposarcoma) and LMS (Leiomyosarcoma)
patients as measured by disease free survival.
Afte1 expand
This is a multicenter, randomized, open label phase lll trial to assess whether preoperative chemotherapy, as an adjunct to curative-intent surgery, improves the prognosis of high risk DDLPS (dedifferentiated Liposarcoma) and LMS (Leiomyosarcoma) patients as measured by disease free survival. After confirmation of eligibility criteria, patients will be randomized to either the standard arm or experimental arm. Type: Interventional Start Date: Jan 2021 |
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Anticoagulation in ICH Survivors for Stroke Prevention and Recovery
Yale University
Intracerebral Hemorrhage
Atrial Fibrillation
Primary Aim: To determine if apixaban is superior to aspirin for prevention of the
composite outcome of any stroke (hemorrhagic or ischemic) or death from any cause in
patients with recent ICH and atrial fibrillation (AF).
Secondary Aim: To determine if apixaban, compared with aspirin, results in1 expand
Primary Aim: To determine if apixaban is superior to aspirin for prevention of the composite outcome of any stroke (hemorrhagic or ischemic) or death from any cause in patients with recent ICH and atrial fibrillation (AF). Secondary Aim: To determine if apixaban, compared with aspirin, results in better functional outcomes as measured by the modified Rankin Scale. Type: Interventional Start Date: Jan 2020 |
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Preliminary Effectiveness of Enhanced Text Message + Incentives
University of Kansas Medical Center
Smoking Cessation
Pregnancy
This study is a preliminary evaluation of a smoking cessation intervention designed for
pregnant women that combines text message support and financial incentives.
The aims of this study are to determine the preliminary feasibility and acceptability of
text message + incentives (intervention) vs.1 expand
This study is a preliminary evaluation of a smoking cessation intervention designed for pregnant women that combines text message support and financial incentives. The aims of this study are to determine the preliminary feasibility and acceptability of text message + incentives (intervention) vs. text message only (control). Type: Interventional Start Date: Apr 2026 |
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Testing Shorter Duration Radiation Therapy Versus the Usual Radiation Therapy in Patients Receiving1
NRG Oncology
Muscle Invasive Bladder Urothelial Carcinoma
Stage II Bladder Cancer AJCC v8
Stage IIIA Bladder Cancer AJCC v8
This phase III trial compares the effect of decreased number of radiation
(ultra-hypofractionated) treatments to the usual radiation number of treatments
(hypofractionation) with standard of care chemotherapy, with cisplatin, gemcitabine or
mitomycin and 5-fluorouracil for the treatment of patients1 expand
This phase III trial compares the effect of decreased number of radiation (ultra-hypofractionated) treatments to the usual radiation number of treatments (hypofractionation) with standard of care chemotherapy, with cisplatin, gemcitabine or mitomycin and 5-fluorouracil for the treatment of patients with muscle invasive bladder cancer. Hypofractionated radiation therapy delivers higher doses of radiation therapy over a short period of time. Ultra-hypofractionated radiation therapy delivers radiation over an even shorter period of time than hypofractionated radiation therapy. Cisplatin is in a class of medications known as platinum-containing compounds. It works by killing, stopping or slowing the growth of tumor cells. Gemcitabine is a chemotherapy drug that blocks the cells from making DNA and may kill tumor cells. Chemotherapy drugs, such as mitomycin-C and 5-fluorouracil (5-FU), work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving ultra-hypofractionated radiation may be equally effective as hypofractionated therapy for patients with muscle invasive bladder cancer. Type: Interventional Start Date: Oct 2025 |
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Rademikibart Add-on Treatment of an Acute Asthma Exacerbation (Seabreeze STAT Asthma)
Connect Biopharm LLC
Asthma Acute
This is a Phase 2, randomized, multicenter study in adult and adolescent participants
with asthma and type 2 inflammation expand
This is a Phase 2, randomized, multicenter study in adult and adolescent participants with asthma and type 2 inflammation Type: Interventional Start Date: Aug 2025 |
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Safety and Efficacy of Endovascular Treatment of Intracranial Aneurysms With Surpass Elite With GUA1
Stryker Neurovascular
Aneurysm
Aneurysm, Intracranial
The objective of the Safety and Efficacy of Endovascular Treatment of Intracranial
Aneurysms with Surpass Elite with GUARDian Flow Diverter (GUARD) trial is to evaluate the
safety and efficacy of the Surpass Elite with Guardian Flow Diverter System (FDS) in the
treatment of unruptured, wide-neck sa1 expand
The objective of the Safety and Efficacy of Endovascular Treatment of Intracranial Aneurysms with Surpass Elite with GUARDian Flow Diverter (GUARD) trial is to evaluate the safety and efficacy of the Surpass Elite with Guardian Flow Diverter System (FDS) in the treatment of unruptured, wide-neck saccular or fusiform, intracranial aneurysms (IAs) located on the internal carotid artery (ICA) or its branches. Type: Interventional Start Date: Jun 2025 |
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Testing Whether High Dose Chemotherapy and Infusion of the Patients' Own Stem Cells Improves Surviv1
Eastern Cooperative Oncology Group
Anaplastic Large Cell Lymphoma, ALK-Negative
Follicular Helper T-Cell Lymphoma
Follicular Helper T-Cell Lymphoma, Angioimmunoblastic-Type
Peripheral T-Cell Lymphoma, Not Otherwise Specified
This phase III trial compares the effect of high dose chemotherapy and the patients' own
(autologous) stem cells to observation only in patients with peripheral T-cell lymphoma
who achieved a complete response after initial chemotherapy. Usual treatment after a
complete response may include observa1 expand
This phase III trial compares the effect of high dose chemotherapy and the patients' own (autologous) stem cells to observation only in patients with peripheral T-cell lymphoma who achieved a complete response after initial chemotherapy. Usual treatment after a complete response may include observation or high dose chemotherapy followed by an autologous stem cell transplant, however, it is not known if a transplant if beneficial. Giving chemotherapy before a stem cell transplant helps kill cancer cells in the body and helps make room in the patient's bone marrow for new blood-forming cells (stem cells) to grow. Stem cells removed prior to treatment are then returned to the patient to replace the blood forming cells that were destroyed by the chemotherapy. Giving high dose chemotherapy followed by an autologous stem cell transplant may be more effective compared to observation only in treating patients with peripheral T-cell lymphoma who have achieved a complete response after initial chemotherapy. Type: Interventional Start Date: Jan 2025 |
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Ruxolitinib vs Prednisone as First-line Therapy for cGVHD Needing Systemic Therapy
H. Lee Moffitt Cancer Center and Research Institute
Chronic Graft-versus-host Disease (cGVHD)
Allogeneic transplant is potentially curative for hematological malignancies but its use
is limited by the development of GVHD. Ruxolitinib now has FDA approval for treatment of
chronic GVHD that has failed 1-2 prior lines of therapy based on a prior large,
randomized phase III study. Given this ev1 expand
Allogeneic transplant is potentially curative for hematological malignancies but its use is limited by the development of GVHD. Ruxolitinib now has FDA approval for treatment of chronic GVHD that has failed 1-2 prior lines of therapy based on a prior large, randomized phase III study. Given this evidence of safety and efficacy in the early refractory setting (after prednisone failure), Ruxolitinib represents an ideal agent to test in the primary therapy setting. Here investigators propose a phase 2 randomized study to compare Ruxolitinib to prednisone as a first-line therapy in the treatment of chronic GVHD. Type: Interventional Start Date: Dec 2024 |
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Prevail Global Study
Medtronic Vascular
Coronary Artery Disease
The purpose of the study is to evaluate the clinical safety and efficacy of the Prevail
DCB. expand
The purpose of the study is to evaluate the clinical safety and efficacy of the Prevail DCB. Type: Interventional Start Date: Feb 2025 |
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HIT-Stroke Trial 2
University of Cincinnati
Stroke
People who had a stroke at least 6 months prior and who still have difficulty with
walking will each be randomly assigned to receive either moderate or vigorous intensity
walking exercise. Both protocols will be performed individually with a physical therapist
for 45 minutes, 3x/week for 12 weeks.1 expand
People who had a stroke at least 6 months prior and who still have difficulty with walking will each be randomly assigned to receive either moderate or vigorous intensity walking exercise. Both protocols will be performed individually with a physical therapist for 45 minutes, 3x/week for 12 weeks. Measures including walking function will be assessed at baseline (PRE), after 4, 8 and 12 weeks of training (12WK) and at 3-month follow up (3moPOST), by raters who are unaware of the participant randomization. Type: Interventional Start Date: Feb 2024 |
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A Study of GLB-001 in Patients With Relapsed or Refractory Acute Myeloid Leukemia or Relapsed or Re1
GluBio Therapeutics Inc.
Acute Myeloid Leukemia
Myelodysplastic Syndromes
Study GLB-001-01 is a first-in-human (FIH), Phase 1, open-label, dose escalation and
expansion clinical study of GLB-001 in participants with relapsed or refractory acute
myeloid leukemia (R/R AML) or in participants with relapsed or refractory higher-risk
myelodysplastic syndromes (R/R HR-MDS). Th1 expand
Study GLB-001-01 is a first-in-human (FIH), Phase 1, open-label, dose escalation and expansion clinical study of GLB-001 in participants with relapsed or refractory acute myeloid leukemia (R/R AML) or in participants with relapsed or refractory higher-risk myelodysplastic syndromes (R/R HR-MDS). The dose escalation part (Phase 1a) of the study will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and preliminary efficacy of GLB-001 administered orally. Approximately 24 participants (up to 42 participants) may be enrolled in Phase 1a of the study. The dose expansion part (Phase 1b) will be followed to understand the relationships among dose, exposure, toxicity, tolerability and clinical activity, to identify minimally active dose, and to select the recommended dose(s) for phase 2 study. Up to 24 participants (12 participants per dose level) may be enrolled in Phase 1b of the study. Type: Interventional Start Date: Jan 2024 |
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A Study of Ficlatuzumab in Combination With Cetuximab in Participants With Recurrent or Metastatic1
AVEO Pharmaceuticals, Inc.
Metastatic Head-and-neck Squamous-cell Carcinoma
Recurrent Head and Neck Squamous Cell Carcinoma
The purpose of this study is to compare the efficacy and safety of ficlatuzumab plus
cetuximab compared to placebo plus cetuximab in participants with recurrent/metastatic
(R/M) HPV-negative Head and Neck Cancer.
The primary hypothesis is that ficlatuzumab combined with cetuximab is superior to
ce1 expand
The purpose of this study is to compare the efficacy and safety of ficlatuzumab plus cetuximab compared to placebo plus cetuximab in participants with recurrent/metastatic (R/M) HPV-negative Head and Neck Cancer. The primary hypothesis is that ficlatuzumab combined with cetuximab is superior to cetuximab alone in terms of progression-free survival and/or overall survival. Type: Interventional Start Date: Jan 2024 |
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Safety and Tolerability of Ziftomenib Combinations in Patients With Relapsed/Refractory Acute Myelo1
Kura Oncology, Inc.
AML
AML With Mutated NPM1
Hematologic Malignancy
KMT2Ar
NPM1 Mutation
The safety, tolerability, and antileukemic response of ziftomenib in combination with
standard of care treatments for patients with relapsed/refractory acute myeloid leukemia
will be examined with the following agents: FLAG-IDA, low-dose cytarabine, and
gilteritinib. expand
The safety, tolerability, and antileukemic response of ziftomenib in combination with standard of care treatments for patients with relapsed/refractory acute myeloid leukemia will be examined with the following agents: FLAG-IDA, low-dose cytarabine, and gilteritinib. Type: Interventional Start Date: Feb 2024 |
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Cognitive Training for Cancer Related Cognitive Impairment in Breast Cancer Survivors
NRG Oncology
Breast Cancer
Cognitive Impairments
This Phase III trial will examine the efficacy of computerized cognitive training methods
on perceived cognitive impairment in breast cancer survivors. expand
This Phase III trial will examine the efficacy of computerized cognitive training methods on perceived cognitive impairment in breast cancer survivors. Type: Interventional Start Date: Feb 2024 |
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Metformin for People With CFRD on CFTR Modulator Therapy to Improve Ion Channel Function
University of Kansas Medical Center
Cystic Fibrosis-related Diabetes
Cystic Fibrosis
The purpose of this study is to assess the efficacy of metformin to improve airway ion
channel function in those with CF-related diabetes (CFRD) expand
The purpose of this study is to assess the efficacy of metformin to improve airway ion channel function in those with CF-related diabetes (CFRD) Type: Interventional Start Date: Feb 2022 |
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Comparing Sentinel Lymph Node (SLN) Biopsy With Standard Neck Dissection for Patients With Early-St1
NRG Oncology
Buccal Mucosa Squamous Cell Carcinoma
Floor of Mouth Squamous Cell Carcinoma
Gingival Squamous Cell Carcinoma
Hard Palate Squamous Cell Carcinoma
Lip Squamous Cell Carcinoma
This phase II/III trial studies how well sentinel lymph node biopsy works and compares
sentinel lymph node biopsy surgery to standard neck dissection as part of the treatment
for early-stage oral cavity cancer. Sentinel lymph node biopsy surgery is a procedure
that removes a smaller number of lymph1 expand
This phase II/III trial studies how well sentinel lymph node biopsy works and compares sentinel lymph node biopsy surgery to standard neck dissection as part of the treatment for early-stage oral cavity cancer. Sentinel lymph node biopsy surgery is a procedure that removes a smaller number of lymph nodes from your neck because it uses an imaging agent to see which lymph nodes are most likely to have cancer. Standard neck dissection, such as elective neck dissection, removes many of the lymph nodes in your neck. Using sentinel lymph node biopsy surgery may work better in treating patients with early-stage oral cavity cancer compared to standard elective neck dissection. Type: Interventional Start Date: Sep 2020 |
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Exosomes in Rectal Cancer
University of Kansas Medical Center
Rectal Cancer
The primary aims of this study is to characterize exosomal biomarker levels in patients
with locally advanced rectal cancer undergoing neoadjuvant chemoradiation therapy.
Compare rates of exosomal expression before during and after chemoradiation therapy with
pathologic response rates at the time o1 expand
The primary aims of this study is to characterize exosomal biomarker levels in patients with locally advanced rectal cancer undergoing neoadjuvant chemoradiation therapy. Compare rates of exosomal expression before during and after chemoradiation therapy with pathologic response rates at the time of APR or LAR. The researchers will also examine the functionality of these exosomes in malignant colonic organoids and mouse models of colorectal cancer. Type: Observational [Patient Registry] Start Date: Feb 2018 |
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Measuring Surgical Recovery After Radical Cystectomy
M.D. Anderson Cancer Center
Bladder Cancer
The intent of this study is to establish a registry of post-surgical outcomes in patients
undergoing radical cystectomy at MD Anderson Cancer Center and the collaborating
institutions. The goals of this initiative are to obtain a detailed baseline of multiple
patient-reported outcomes (PRO) and cli1 expand
The intent of this study is to establish a registry of post-surgical outcomes in patients undergoing radical cystectomy at MD Anderson Cancer Center and the collaborating institutions. The goals of this initiative are to obtain a detailed baseline of multiple patient-reported outcomes (PRO) and clinician-reported outcomes (CRO) as well as various presenting conditions associated with them, so that future quality improvement interventions can be evaluated accurately as to their relative contribution to improved outcomes. Type: Observational [Patient Registry] Start Date: Apr 2015 |
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Testing Docetaxel-Cetuximab or the Addition of an Immunotherapy Drug, Atezolizumab, to the Usual Ch1
National Cancer Institute (NCI)
Oropharyngeal p16INK4a-Negative Squamous Cell Carcinoma
Stage III Hypopharyngeal Squamous Cell Carcinoma AJCC v7
Stage III Laryngeal Squamous Cell Carcinoma AJCC v6 and v7
Stage III Oral Cavity Squamous Cell Carcinoma AJCC v6 and v7
Stage III Oropharyngeal Squamous Cell Carcinoma AJCC v7
This phase II/III trial studies how well radiation therapy works when given together with
cisplatin, docetaxel, cetuximab, and/or atezolizumab after surgery in treating patients
with high-risk stage III-IV head and neck cancer the begins in the thin, flat cells
(squamous cell). Specialized radiatio1 expand
This phase II/III trial studies how well radiation therapy works when given together with cisplatin, docetaxel, cetuximab, and/or atezolizumab after surgery in treating patients with high-risk stage III-IV head and neck cancer the begins in the thin, flat cells (squamous cell). Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue. Drugs used in chemotherapy, such as cisplatin and docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Cetuximab is a monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. Immunotherapy with monoclonal antibodies, such as atezolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. The purpose of this study is to compare the usual treatment (radiation therapy with cisplatin chemotherapy) to using radiation therapy with docetaxel and cetuximab chemotherapy, and using the usual treatment plus an immunotherapy drug, atezolizumab. Type: Interventional Start Date: Mar 2013 |
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Pompe Disease Registry Protocol
Genzyme, a Sanofi Company
Glycogen Storage Disease Type II
Pompe Disease
The Pompe Registry is a global, multicenter, international, longitudinal, observational,
and voluntary program for patients with Pompe disease, designed to track the disease's
natural history and outcomes in patients, both treated and not. Data from the Registry
are also used to fulfill various glo1 expand
The Pompe Registry is a global, multicenter, international, longitudinal, observational, and voluntary program for patients with Pompe disease, designed to track the disease's natural history and outcomes in patients, both treated and not. Data from the Registry are also used to fulfill various global regulatory commitments, to support product development/reimbursement, and for other research and non-research related purposes. The objectives of the Registry are: - To enhance understanding of the variability, progression, identification, and natural history of Pompe disease, with the ultimate goal of better guiding and assessing therapeutic intervention. - To assist the Pompe medical community with the development of recommendations for monitoring patients, and to provide reports on patient outcomes, to optimize patient care. - To characterize the Pompe disease population. - To evaluate the long-term effectiveness of alglucosidase alfa. Type: Observational [Patient Registry] Start Date: Sep 2004 |
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Treatment of Participants With Primary or Secondary Progressive Multiple Sclerosis
Tr1X, Inc.
Primary Progressive Multiple Sclerosis
Secondary Progressive Multiple Sclerosis (SPMS)
Multiple Sclerosis
Multiple Sclerosis (MS) Primary Progressive
Multiple Sclerosis (MS) Secondary Progressive
The goal of this clinical trial is to treat male and female participants with two types
of Multiple Sclerosis (MS) called primary progressive or secondary progressive MS.
The main questions the trial aims to answer are the following:
- Is TRX319 safe when administered to patients with progress1 expand
The goal of this clinical trial is to treat male and female participants with two types of Multiple Sclerosis (MS) called primary progressive or secondary progressive MS. The main questions the trial aims to answer are the following: - Is TRX319 safe when administered to patients with progressive forms of MS? - At what dose does TRX319 work the best to treat participants with primary and or secondary progressive MS? - Is pre-conditioning (with Bendamustine) needed to allow TRX319 to better treat participants with primary and/or secondary progressive MS? Participants will be asked to be on study for up 1 year and may receive up to 3 total administrations of TRX319. While on study, participants will have blood tests and other assessments (MRI scans and lumbar punctures) done to understand the safety of TRX319 and how it may benefit their multiple sclerosis. Type: Interventional Start Date: Mar 2026 |